Organization Active NPI

I Care Physical Therapy and Acupuncture PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1083977409
Registry record updated Feb 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
021837 Issued in NY
Legal business name
I CARE PHYSICAL THERAPY AND ACUPUNCTURE PLLC
Practice address
107 E Broadway
FL 3
New York, NY 10002-7006
Phone
(212) 233-0889
Fax
(212) 233-0898
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adam Gazdzinski, PT, DPT, ECS, OCS
Title
President
Phone
(516) 847-4277

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X NY
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 021837 NY Primary

Addresses

Primary practice location

107 E Broadway
FL 3
New York, NY 10002-7006

Mailing address

107 E Broadway
FL 3
New York, NY 10002-7006
Phone (212) 233-0889

Other identifiers 1

IdentifierTypeStateIssuer
04109468MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487462400000",
    "number": "1083977409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E BROADWAY",
            "address_2": "FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027006",
            "telephone_number": "212-233-0889",
            "fax_number": "212-233-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E BROADWAY",
            "address_2": "FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027006",
            "telephone_number": "212-233-0889",
            "fax_number": "212-233-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE PHYSICAL THERAPY AND ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2017-02-19",
        "status": "A",
        "authorized_official_last_name": "GAZDZINSKI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-847-4277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, ECS, OCS"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04109468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.